WiS Travel Award Application Form

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WiS Travel Award RFA-2022-Fall

The Martinos WiS Travel Awards honor Women in Science (WiS) committee members, past and current, who have demonstrated commitment and have made significant contributions to advancing diversity, equity, and inclusion efforts in the Martinos community at MGH. The goal of this award is to promote career advancement of early-stage WiS committee members by supporting travel and participation in academic conferences, educational seminars, and workshops related to their fields.

For eligibility and application guidelines, please visit WiS Travel Award website.

Application Deadline: Wednesday, Feburary 15th, 2023, 11:59 pm EST
Award Announcement: March 2023
Travel Dates: April 1 - Sep 30, 2023

Please contact us at WiS_MGHMartinos@PARTNERS.ORG if you have any questions.

NOTE: You can save your application form and come back later to complate. However, you must submit your application before the deadline above to be considered for the award. Only completed applications will be considered.

First Name:

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Last Name:

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MGB ID:

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Email:

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Institution:

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Department:

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Division or Laboratory:

Career Level:

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Research Assistant / Technician

Clinical Research Coordinator

Graduate / Medical Student

Post-doctoral / Clinical Fellow

Other, please specify:

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Full Name of Your Mentor:

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Email of Your Mentor:

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DEI Statement as a WiS Committee Member (1-page max):

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Upload file

NOTE: Please upload a PDF copy of a brief Diversity, Equity, and Inclusion (DEI) Statement (1-page max): Describe why DEI is important to the applicant, and how the applicant has contributed to the mission of WiS by being a committee member. Candidates may have accomplished such efforts across WiS activities, including organizing WiS events, engaging in weekly committee meetings, taking internship program responsibilities, managing social media, curating resources related to the WiS mission, or contributing to other initiatives.

Name of the conference or event you're planning to attend:

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Conference or Event Website:

Conference / Event Start Date:

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M-D-Y

Travel Justification (1-page max):

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Upload file

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